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Carotico-cavernous fistula after trans-sphenoidal hypophysectomy
T J Pigott1, I M Holland, J A Punt
1Department of Neuroradiology & Neurosurgery, University Hospital, Nottingham, United Kingdom.
British Journal of Neurosurgery
|January 1, 1989
Summary
A rare carotico-cavernous fistula occurred after pituitary surgery. Interventional radiology successfully closed the fistula, highlighting its role in managing surgical vascular injuries.
Area of Science:
- Neurosurgery
- Interventional Radiology
- Vascular Surgery
Background:
- Transsphenoidal hypophysectomy is a common pituitary surgery.
- Vascular injuries are a rare but serious complication.
- Carotico-cavernous fistulas can result from these injuries.
Observation:
- A 48-year-old woman developed an iatrogenic carotico-cavernous fistula post-transsphenoidal hypophysectomy.
- The fistula presented a significant vascular complication.
Findings:
- Successful closure of the carotico-cavernous fistula was achieved using interventional radiology techniques.
- The case demonstrates the efficacy of endovascular treatment.
Implications:
- Interventional radiology offers a minimally invasive solution for managing vascular injuries during pituitary surgery.
- Reviewing causes and management strategies is crucial for preventing and treating such complications.
- This case underscores the importance of a multidisciplinary approach in neurosurgical patient care.